Cremasteric reflex (Avoid stimulating during exam)
(Causes contraction of muscle which pulls testes higher into pelvic cavity)
-stimulated by cold, touch, emotional excitement, exercise
1. Warm hands
2. Have child sit in “tailor” or "indian" position which stretches the muscle responsible for the cremasteric reflex & prevents contraction & subsequent pulling of testes into pelvic cavity
3. Block the normal pathway of ascent of the testes by placing the thumb and index finger over the upper part of the scrotal sac along the inguinal canal. If there is any question concerning the existence of two testes, place the index and middle fingers in a scissors fashion to separate the right and left scrota. If, after using these techniques, you have not palpated the testes, feel along the inguinal canal and perineum to locate masses that may be undescended testes. Although undescended testes may descend at any time during childhood and are checked at each visit, failure to palpate testes is reported.
If testes not descended by one year >refer
Cremasteric reflex (Avoid stimulating during exam)
(Causes contraction of muscle which pulls testes higher into pelvic cavity)
-stimulated by cold, touch, emotional excitement, exercise
1. Warm hands
2. Have child sit in “tailor” or "indian" position which stretches the muscle responsible for the cremasteric reflex & prevents contraction & subsequent pulling of testes into pelvic cavity
3. Block the normal pathway of ascent of the testes by placing the thumb and index finger over the upper part of the scrotal sac along the inguinal canal. If there is any question concerning the existence of two testes, place the index and middle fingers in a scissors fashion to separate the right and left scrota. If, after using these techniques, you have not palpated the testes, feel along the inguinal canal and perineum to locate masses that may be undescended testes. Although undescended testes may descend at any time during childhood and are checked at each visit, failure to palpate testes is reported.